is currently working as a medical officer in Internal medicine at Nepal Police Hospital (previously clinical oncology). He searches for and share simpler ways to make complicated medical topics simple. He also loves writing poetry, listening and playing music and travelling.

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Subjects

Multiple Sclerosis Mnemonic

Multiple sclerosis is an autoimmune disease of white matter that occurs due to interaction of genetic factors with unknown environmental factors. It is characterized by the pathological triad of inflammation, demyelination and gliosis. It is diagnosed using McDonald’s criteria. My mnemonic for clinical features and treatment of multiple sclerosis is: MULTIPLE SCLEROSIS.

Uhthoff’s phenomenon: worsening of symptoms on exposure to heat (hot water bath) or exercise, and occurs due to conduction block

Lhermitte’s sign

Trigeminal neuralgia

Internuclear ophthalmoplegia and optic neuritis

Incontinence (bowel and bladder involvement)

Pulfrich effect: may occur when conduction latencies between the eyes are unequal, resulting in a sense of disorientation in moving traffic

Lesions disseminated in time and space: Dissemination in time indicates involvement of more than one area of CNS dysfunction. All events occurring within 30 days of an event are considered to be part of a single event. Dissemination of space indicates involvement of more than one area of the CNS.

About Epomedicine

Epomedicine is a source of concise notes on medical topics with relevant details and mnemonics which makes them easy to conceptualize. Learning is not memorizing but conceptualizing.

Epomedicine also provides quick access to case discussion on interesting medical cases, videos for developing correct clinical skills and a blog to go beyond notes and research articles to explore the inner-self of medical students and healthcare professionals.